The nurse is finishing an admission assessment for Mrs. M who was ...

[acc299]

The nurse is finishing an admission assessment for Mrs. M who was admitted during a previous shift.
 
  While doing the medical psychosocial history, the following facts come to light: Two years ago, she was treated for a major depressive episode; she practices Islam; she lives in the area of town where there are many Muslim people; and she comes from a wealthy family. Her hair is visibly dry and dull, and she mentions that her hand grip has gotten weaker over the last few months. Because of the findings during this assessment, the nurse decides to refer her to the dietitian for a nutrition assessment. What in the medical psychosocial assessment might lead to a nutritional deficiency? A) The culture she lives in
  B) It is Ramadan, and Mrs. M practices Islam.
  C) Her hair is dry and dull.
  D) She has had a major depressive episode.

Question 2

The nurse emphasizes that nutrition therapy is the basis of treatment for all diabetics in the nutrition class. Which of the following nutrition recommendations for diabetics is true?
 
  A) Together, total carbohydrate and monounsaturated fat should provide less than 50 of total calories.
  B) Glycemic control is dependent on matching carbohydrate intake with the action of insulin or other medication.
  C) Natural sources of fructose (fruits, vegetables) should be restricted.
  D) Gram for gram, sucrose cannot replace starch without causing a deleterious effect on glucose levels.

[Galvarado142]

Answer to Question 1

D
Feedback:
A client's medicalpsychosocial history may shed light on factors that influence intake, nutritional requirements, or nutrition counseling. Some of these factors include depression, eating disorders, language barriers, and impaired intake related to culture. Even though it is Ramadan and Mrs. M fasts until sunset, living in a Muslim culture does not mean that she is malnourished. The fact that her hair is dry and dull is only one sign or symptom of malnutrition, and it is not part of the medical psychosocial admission assessment nutritional screening.

Answer to Question 2

B
Feedback:
Glycemic control is dependent on matching carbohydrate intake with the action of insulin or other medications. The AMDR of total carbohydrates should be between 45 and 65 of total calories. Sucrose and sucrose-containing foods are not restricted but should be substituted for other carbohydrates and not eaten as extras. The use of fructose as an added sweetener is not recommended; however, there is no reason for diabetics to avoid naturally occurring fructose in fruit and vegetables.

[acc299]

TYSM

[T4T]

Gracias!